Rickets: Emerging From the Past

Authors

  • Margarida Valério Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.
  • Sara Pimentel Marcos Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.
  • Conceição Santos Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.
  • Maria João Leiria Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.

DOI:

https://doi.org/10.20344/amp.5520

Keywords:

Child, Child Nutrition Disorders, Rickets, Vitamin D Deficiency.

Abstract

In the past decade rickets has re-emerged in developed countries due to changes in lifestyles and dietary habits. We describe a case of a 28-month-old black infant with failure to thrive. He was exclusively breastfed until nine months of age, without vitamin supplementation, and never ingested milk products due to alleged cow’s milk intolerance. His examination revealed bowlegs, rachitic rosary and wide wrists. Alkaline phosphatase and intact parathyroid hormone levels were elevated, and calcidiol was decreased. Radiographic images showed bone demineralization, fraying and cupping of the distal radius and ulna. Nutritional rickets was considered and treatment with colecalciferol and calcium carbonate was initiated, with clinical, laboratory and radiologic improvement. In this case, a group of factors contributed to severe nutritional rickets, alerting to the re-emergence of this disease.

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Author Biographies

Margarida Valério, Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.

Interna do Complementar de Pediatria, Hospital de São Francisco Xavier, CHLO

Sara Pimentel Marcos, Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.

Interna do Complementar de Pediatria, Hospital de São Francisco Xavier, CHLO

Conceição Santos, Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.

Assistente Hospitalar de Pediatria, Hospital de São Francisco Xavier, CHLO

Maria João Leiria, Serviço de Pediatria. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.

Assistente Hospitalar de Pediatria, Hospital de São Francisco Xavier, CHLO

Published

2015-04-30

How to Cite

1.
Valério M, Pimentel Marcos S, Santos C, Leiria MJ. Rickets: Emerging From the Past. Acta Med Port [Internet]. 2015 Apr. 30 [cited 2022 Dec. 7];28(2):263-6. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5520

Issue

Section

Case Report